Thomas Moss

Primary specialty

Clinical Exercise PhysiologistTaxonomy code 224Y00000X

Practice address

17376 Jordan Street
Chatom, AL 36518

Phone

(251) 847-3952

NPI assigned

Mar 2, 2021

Sex

Male

Sole proprietor

No

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on May 23, 2024.

{
    "created_epoch": "1614643200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716422400000",
    "number": "1477148591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 763",
            "city": "CHATOM",
            "state": "AL",
            "postal_code": "365180763",
            "telephone_number": "251-847-3952"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17376 JORDAN STREET",
            "city": "CHATOM",
            "state": "AL",
            "postal_code": "36518",
            "telephone_number": "251-847-3952"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "120 98 Place Blvd",
            "address_purpose": "LOCATION",
            "city": "Hattiesburg",
            "state": "MS",
            "postal_code": "394028676",
            "country_code": "US",
            "telephone_number": "251-242-0114",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOSS",
        "first_name": "THOMAS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-03-02",
        "last_updated": "2024-05-23",
        "certification_date": "2024-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133N00000X",
            "taxonomy_group": "",
            "desc": "Nutritionist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "174H00000X",
            "taxonomy_group": "",
            "desc": "Health Educator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "226300000X",
            "taxonomy_group": "",
            "desc": "Kinesiotherapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "224Y00000X",
            "taxonomy_group": "",
            "desc": "Clinical Exercise Physiologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John Leonard Hubbard Jr.
• Deah Rebecca Huff, W.H.N.P.
• Magnolia Behavior Services, LLC
• McConaghy Home Medical, LLC
• Charlotte Annette Moss, NP
• Molly Moseley Peterson, NBC-HWC
• Pulmonary Associate of Mobile PC
• Milton Samuel Reynolds Jr., DMD
• Leslie Savage, RBT
• SCF Family First Counseling, Inc.

• All providers in Chatom, AL
• Clinical Exercise Physiologist in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.